Start Submission Become a Reviewer

Reading: Management of anogenital warts in STD clinic, Kalubowila: a clinical audit

Download

A- A+
Alt. Display

Papers

Management of anogenital warts in STD clinic, Kalubowila: a clinical audit

Authors:

T. D. R. N. Perera ,

National STD/ AIDS Control Prgramme, No 29, De Saram place, Colombo 10, LK
X close

N. Abeygunasekara

Colombo South Teaching Hospital (CSTH), Kalubowila, LK
X close

Abstract

Introduction: Genital wart (GW) is the 3rd leading Sexually Transmitted disease (STD) in Sri Lanka which accounts for 23% of total reported STDs.

 

Objective: To describe the management of GW at STD clinic, Kalubowila in relation to the national guideline.

 

Methods: One hundred and thirty nine consecutive patient records during year 2016, with genital warts were analyzed using a data extraction sheet for auditable outcome variables adapted from the audit group of British Association of Sexual Health and HIV (BASHH).

 

Results: Out of 139 records, 86 were males and 53 were females. All the patients were managed according to the Sri Lankan national guideline. In almost all the cases (96%), site/location of the warts and extent/ distribution of the warts had been recorded using diagrams. However, the lesion was described in 50% of records. Out of female patients (53), cervical cytology was done in 31 patients (58%) and CIN 1 was reported in 2 cases. Pap smear had not been done in 40% of patients by the STD clinic due to pregnancy, total hysterectomy and availability of recent Pap test. All the patients were screened for HIV, syphilis and gonorrhoea. Trichloroacetic acid (90% TCA) and Cryo-theapy were the first line treatment among 75% and 25% of patients respectively. Three month treatment response rate was 74% while 9% did not show an adequate response and rest (17%) were defaulted treatment.

 

Conclusion: Almost all the patients were managed according to the national guideline and this should be continued. However, treatment response rate needs to be improved availing more treatment options.

How to Cite: Perera, T.D.R.N. and Abeygunasekara, N., 2018. Management of anogenital warts in STD clinic, Kalubowila: a clinical audit. Sri Lanka Journal of Sexual Health and HIV Medicine, 4, pp.30–33. DOI: http://doi.org/10.4038/joshhm.v4i0.79
Published on 26 Dec 2018.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus